Outcome of Adenoidectomy and Tonsillectomy by Electrocautery Dissection at Surin Hospital

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Teerayoot Jongsuebsit


Background: Adenoidectomy and tonsillectomy are most common operation for otolaryngologist especially in pre-school child. The operations differed by different indication with various techniques. Surin hospital adopts electrocautery dissection for the advantage of less blood loss. This study therefore describes the incidence of adenoidectomy and tonsillectomy including its indication, complication and operative time. Moreover, correlation among factors such as age, gender and diagnosis with type of operation and complication were also determined in this study
Methods: a descriptive study performed by patient chart review form October 1st 2016 to September 30th 2017. Collected data includes gender, age, diagnosis, comorbidity, size and location of node, operation technique, operative time including complications. Ethical approval was obtained from Surin hospital ethics review committee.
Results: All patients (159 cases) were female 61.8% with mean age 18.4±14.5 years and average operative time was 53.02 ±1.18minutes. Complication was found 2.5% in which 1.6% was serious complication (major bleeding) and there was no significant correlation between gender, age, node location or operation with the incidence of complication (P>0.05).
Conclusion: Adenoidectomy and tonsillectomy at Surin hospital had serious complication of major bleeding which the incidence rate was comparable to other reports. There was no associated factor to the serious complication. However, the operative time in this study was doubled when compared to the other studies.Definition of operative time should be verified and time record of each operation step must be detailed for further improvement of patient care.
Keywords: adenoid, tonsil


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